PROFESSIONAL CHIROPRACTIC & REHABILITION CENTER P.C. (NPI# 1023181302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023181302 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CHIROPRACTIC & REHABILITION CENTER P.C. |
| Practice Address |
5386 Kempsriver Dr Suite 102 Virginia Beach VA 23464-5349 |
| Practice Telephone | 7574242626 |
| Practice Fax Number | 7573660129 |
| Mailing Telephone | 7574242626 |
| Mailing Fax Number | 7573660129 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DR. SPEROS TRYPHONAS (DOCTOR PRESIDENT) |
| Authorized Official Telephone | 7574242626 |
| Authorized Official Credential | B.SC., D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556069 | VA | Chiropractic Providers |
| Street Address |
5386 KEMPSRIVER DR SUITE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689076580 | Patricia Crombie | Hearing Instrument Specialist | 5386 Kempsriver Dr, Ste 112, Virginia Beach, VA 23464-5349 | 2014-09-23 |
| 1093850471 | Hear Quick Inc. | Specialist | 5386 Kempsriver Dr, #112, Virginia Beach, VA 23464-5349 | 2007-02-21 |
| 1609939206 | Steven Rowland Wilkins | Optometrist | 5386 Kempsriver Dr, Suite 101, Virginia Beach, VA 23464-5349 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1831733310 | Kenneth Ross Ellul | Chiropractor | 2236 General Booth Blvd Ste 110, Virginia Beach, VA 23456-4092 | 2019-10-29 |
| 1376190520 | Ralph Nebling | Chiropractor | 917 Horseshoe Ct, Virginia Beach, VA 23451-5924 | 2019-08-22 |
| 1659934891 | Krista Frank | Chiropractor | 4640 Shore Dr Ste 108, Virginia Beach, VA 23455-2859 | 2019-04-14 |
| 1518455484 | Scott M. Ponquinette | Chiropractor | 633 Independence Blvd Ste A, Virginia Beach, VA 23462-2200 | 2018-04-26 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1245756717 | Adam Blower | Chiropractor | 1932 Kempsville Rd Ste 103, Virginia Beach, VA 23464-6954 | 2017-08-16 |
| 1700226610 | Lightkeeper Chiropractic Pllc | Chiropractor | 325 First Colonial Rd, Suite A, Virginia Beach, VA 23454-4665 | 2013-06-25 |
| 1871837294 | Justin Quail LLC | Chiropractor | 4740 Baxter Rd Ste 109, Virginia Beach, VA 23462-4484 | 2012-11-26 |
| 1134463730 | Parmiter Inc | Chiropractor | 5072 Ferrell Pkwy, Virginia Beach, VA 23464-8894 | 2012-11-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on PROFESSIONAL CHIROPRACTIC & REHABILITION CENTER P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.